Individual provider Active NPI

David E Wilhelm, LSW

  • Social Worker
  • Poland, OH
National Provider Identifier
1962724443
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0701288 Issued in OH
Practice address
908 Sahara TRL
Poland, OH 44514-3667
Phone
(800) 778-1242
Fax
(330) 758-5121
NPI assigned
Feb 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0701288 OH Primary

Addresses

Primary practice location

908 Sahara TRL
Poland, OH 44514-3667

Mailing address

908 Sahara TRL
Poland, OH 44514-3667
Phone (800) 778-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0701288OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychiatry, Inc. CurrentSince Mar 18, 2023 Accepting new patients
Southwoods Counseling LLC Social Worker CurrentSince Feb 1, 2010 Accepting new patients

Locations

908 Sahara Trl
Youngstown, OH 44514
Phone (330) 726-2965

833 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 270-9011

833 Boardman Canfield Rd
Ste 105
Youngstown, OH 44512
Phone (330) 758-9751

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1962724443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SAHARA TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143667",
            "telephone_number": "800-778-1242",
            "fax_number": "330-758-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SAHARA TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143667",
            "telephone_number": "800-778-1242",
            "fax_number": "330-758-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0701288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.